Mr Thomas William Jackson Mspt, PT - Medicare Physical Therapist in Newark, NY

Mr Thomas William Jackson Mspt, PT is a medicare enrolled "Physical Therapist" provider in Newark, New York. His current practice location is 1200 Driving Park Ave, Newark, New York. You can reach out to his office (for appointments etc.) via phone at (315) 332-2289.

Mr Thomas William Jackson Mspt is licensed to practice in New York (license number 011505) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326682618.

Contact Information

Mr Thomas William Jackson Mspt, PT
1200 Driving Park Ave,
Newark, NY 14513-1090
(315) 332-2289
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Thomas William Jackson Mspt
GenderMale
SpecialityPhysical Therapist
Location1200 Driving Park Ave, Newark, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326682618
  • Provider Enumeration Date: 10/30/2019
  • Last Update Date: 12/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183014806
  • Enrollment ID: I20211211000139

Medical Identifiers

Medical identifiers for Mr Thomas William Jackson Mspt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326682618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 011505 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Thomas William Jackson Mspt allows following entities to bill medicare on his behalf.
Provider NameWestern New York Medical Practice Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas William Jackson Mspt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Thomas William Jackson Mspt, PT
Po Box 111,
Newark, NY 14513-0111

Ph: (315) 332-2289
Mr Thomas William Jackson Mspt, PT
1200 Driving Park Ave,
Newark, NY 14513-1090

Ph: (315) 332-2289

Reviews and Comments


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Mrs. Andrea Lorene Ide, PT
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Phone: 315-332-2289    Fax: 315-332-2472
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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